Cygnus Diving Club will be hosting a trial class for adults on Sunday, April 28th, 2019 from 7-8pm at Centennial Pool.

The trial class is for adults, 18 years of age or older, to experience a learn to dive class. The class will feature a dryland warm up, and pool time. Participants must be able to swim confidently and be comfortable in deep water.

If there is enough interest following the trial class, Cygnus will offer a 4-6 week adult learn to dive class this spring.

There is no cost for the trial class, but pre-registration is required, including a registration form and waiver for all participants. Please email info@cygnusdiving.ca with any questions.

Please complete the following information to register for the adult trial class with Cygnus Diving Club, on Sunday, April 28, 2019, from 7-8pm. The trial class will include a dryland component, which could include stretching, running, and jumping. The pool portion of the class will include jumping from the side of the pool and from 1m and 3m springboards, as well as instruction in front entries from the side of the pool and springboards. Participants should be aware that as with any physical activity, there is a risk of injury, such as slips and falls, and by completing this waiver that you accept this risk in order to participate. If you have any questions about registration please contact info@cygnusdiving.ca.

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Participant Information

Name (First Last)*

Birthdate*

Street Address*

City*

Province*

Postcode*

Email*

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Home Phone

Cell Phone*

Primary Emergency Contact Name*

Relationship to Participant*

Phone*

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Medical Information

Nova Scotia Health Card Number*

Family Physician Name*

Physician Phone Number

Medical Conditions*

Medications*

Allergies (if any)

Photo Consent and Media Release Form

I hereby grant consent to Cygnus Diving Club and the Nova Scotia Amateur Diving Association (NSADA) to reproduce and/or use photos taken or obtained of the participant for use in the promotion of Cygnus Diving Club and NSADA.

I understand and agree that any and all photographs, recordings, films or reproductions may be used to promote the participants, athletes, Cygnus Diving Club and NSADA.

I herby release Cygnus Diving Club and its officers, directors, agents and employees from any and all liability arising from the rights granted hereby and from the use of my name and likeness as herein authorized.

I understand that reproduction and usage of my image, name, likeness and/or written comments through any media come without compensation and are solely for the purpose of promoting the sport, Cygnus Diving Club, and NSADA.

I understand that the image or likeness of me may appear in print materials (such as brochures, displays, posters, or advertising), or online (website and social media).

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I DO Consent

I DO NOT Consent

“I am aware that accidents and injury are an inherent risk of diving and can happen without any fault on the part of the instructors/coaches, Cygnus Diving Club or Centennial Pool. By participating in this activity, I accept the risk of accident and injury and agree that the activity as described in the program information is suitable for me.”

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"I understand that per Centennial Pool and Cygnus Diving Club policy that taking photos and/or video recordings on the pool deck, in the change room(s), or from the viewing areas is strictly prohibited."

Participant Name*

Try-It Night

Please complete the following information to register for Try It Night, hosted by Cygnus Diving Club. Try It Night will be at Centennial Pool on Wednesday, April 24, 2019, from 6:30-7:30. Once a form has been completed, you will receive an email with confirmation of registration for your child, and further details. If you have any questions about registration for Try It Night, please contact info@cygnusdiving.ca.

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Try It Night is an opportunity for children to experience a learn to dive class with Cygnus Diving Club. Try It Night may include use of the dryland training area, springboards, platform, trampoline, and pool. Physical activity such as tumbling on tumbling mats, and jumping from springboards/platforms or from the side of the pool will be performed. Parents/guardians must be aware of the risks involved in such activities and indicate by completing the registration form that their son/daughter is able to participate in these activities. With these activities are risks such as slips and falls. Children not following the instructions set forth by the instructors and coaches will be asked to leave Try It Night if they are putting themselves or other participants at risk for injury.

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Child's Full Name (first, last)

Name (First Last)*

Birthdate*

Street Address*

City*

Province*

Postcode*

Primary Contact Email*

Secondary Contact Email

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Parent/Guardian/Emergency Contact

Parent/Guardian 1 Name (First Last)*

Home Phone*

Cell Phone*

Parent/Guardian 2 Name (First Last)

Home Phone

Cell Phone

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Medical Information

Health Card Number*

Family Physician Name*

Physician Phone Number*

Medical Conditions*

Medications*

Allergies (if any)*

Swimming Competency*

My child is a confident swimmer

My child is comfortable in deep water

“I am aware that accidents and injury are an inherent risk of diving and can happen without any fault on the part of the instructors/coaches, Cygnus Diving Club or Centennial Pool. By allowing my son/daughter to participate in this activity, I accept the risk of accident and injury and agree that the activity as described in this registration form is suitable for my child.”

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Participant Name*

Parent/Guardian Name*

Cygnus Diving Club

Adult Trial Class

Participant Information

Medical Information

Photo Consent and Media Release Form

Try-It Night

Child's Full Name (first, last)

Parent/Guardian/Emergency Contact

Medical Information

A springboard and platform diving club in Halifax, NS.